Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.51 / $11.51	Professional		$11.51	$11.51	$11.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.76 / $102.76 / $152.56	Facility		$102.76	$102.76	$152.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $111.37	Professional		$111.37	$111.37	$111.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $102.76	Facility		$100.00	$100.00	$102.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $283.83	Facility		$100.00	$100.00	$283.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $283.83	Facility		$100.00	$100.00	$283.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $111.37	Professional		$111.37	$111.37	$111.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $128.25	Professional		$95.00	$95.00	$128.25